WILLIAM T KENNEDY JR, L.A.D.C., PLMHP GRAND ISLAND, NE

Contact Information

WILLIAM T KENNEDY JR, L.A.D.C., PLMHP

715 W ANNA ST
GRAND ISLAND, NE 68801-6713

Phone: 308-398-0350
Fax: 308-398-0352
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mental Health	101YM0800X
Addiction (Substance Use Disorder)	101YA0400X

Indicates primary specialty

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NPI Profile & details for WILLIAM T KENNEDY JR · (Male)

NPI Number	`1841330784`
Status	Active
Credentials	L.A.D.C., PLMHP
Entity	Individual
Enumeration date	02/08/2007
Last updated	08/17/2023 - About 3 years ago
Sole proprietor ¹	Yes
Identifiers	NE License # 8362 NE License # LADC-621 NE Medicaid 10025551800 NE Other 98340 BLUECROSS BLUESHIELD NE Other LADC-621 LICENSE ALCOHOL DRUG COUN NE Other 600245205 MAGELLAN NE Other PLMHP 8362 MENTAL HEALTH COUNSELOR
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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WILLIAM T KENNEDY JR, L.A.D.C., PLMHP – NPI #1841330784Mental Health

Contact Information

Specialty

Mental Health

Addiction (Substance Use Disorder)

NPI Profile & details for WILLIAM T KENNEDY JR · (Male)

Reviews for WILLIAM T KENNEDY JR

WILLIAM T KENNEDY JR, L.A.D.C., PLMHP – NPI #1841330784
Mental Health